Active NPI
Leslie N Greenhouse, COTA
- Occupational Therapist
- Kilgore, TX
National Provider Identifier
1013245703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 210659
- Practice address
- 1901 Whipporwill LN
Kilgore, TX 75662-3880 - Phone
- (903) 983-7775
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 210659 | TX | Primary |
Addresses
Primary practice location
1901 Whipporwill LN
Kilgore, TX 75662-3880
Mailing address
302 Johnson Dr
Henderson, TX 75654-4516
Phone (903) 657-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210659 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1013245703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 JOHNSON DR",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544516",
"telephone_number": "903-657-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 WHIPPORWILL LN",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623880",
"telephone_number": "903-983-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENHOUSE",
"first_name": "LESLIE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "210659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kilgore, TX
- Hailey Goza
- Paul A Grant Jr, MD
- Grant-Moore Center for Behavioral Health, Inc.
- Christopher Richard Gratton, D.C., P.C.
- Gloria Salazar Gray, RN, FNP-C
- Gregg Home for the Aged, Inc
- Guardian Angels Transportation
- Melissa Ann Hahn, PTA
- Marcy Hall, FNP
- Hamilton County Hospital District (Arbor Grace Guest Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.